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Q In men with lower urinary tract symptoms, is a self management programme effective as a first line intervention?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Surgery—urology ★★★★★☆☆
randomised controlled trial.
Follow up period:
outpatient departments of 2 urological centres in London, UK.
140 men who were >40 years of age (mean age 63 y) and had lower urinary tract symptoms. Exclusion criteria were drug treatment (α blocker, 5 α reductase inhibitor, or anticholinergic drug), recent surgery, complications potentially related to their symptoms, or severe comorbidity.
self management plus usual care (n = 73) or usual care alone (n = 67). Self management consisted of small group sessions (5–8 men) at 1, 2, and …